New Reality for Trainees Amid Covid-19 Challenges
Trainees face challenges with limited tutorials, learning time, and assessment changes due to Covid-19 impact. Strategies include utilizing virtual platforms for teaching and adapting assessment requirements for ST3 finishers.
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Presentation Transcript
New reality for trainees No tutorials No protected learning time No whole or half-day release programme WBPA suspended
Grab teaching opportunities Debriefs Informal support & teaching for trainees Include them in virtual practice meetings Zoom meetings Wednesday 2 pm
ARCPs Will occur (virtually)
MRCGP Workplaced Based Assessment (WBPA) https://www.rcgp.org.uk/training-exams/training/mrcgp-workplace- based-assessment-wpba.aspx
WBPA ST3 finishers: minimum evidence required across ST3 year CBDs: 6 COTs: 6 Learning logs: expected trainees will continue to add Fill in gaps in evidence Mandatory intimate examination CEPs If any missing, the ES can comment in their opinion, the trainee would have the skills to perform the relevant examination competent & safely MSF: 1 across whole year SEA: 1 during training programme (+ anything significant that has occurred) BLS: on-line training acceptable (upload certificate) Level 3 child safeguarding: on-line acceptable ESR: 1 Form R completed
WBPA ST3 finishers No audio COT needed No prescribing assessment No adult safeguarding No reflection on a safeguarding issue No PSQ No non-mandatory CEPS needed No audit/QIP No OOH No CSR? would be very useful though. ES can ask for one
ESR ST3 finishers: simplified Trainee and ES need to rate all capabilities as competent for licensing Trainee needs to provide 3 pieces of supportive evidence for each capability from whole of ST3 ES just needs to affirm the trainee evidence Unless they are NFD- BE: explanation necessary Log entries linked to some, but not all, clinical experience groups
ESR: ST3 finishers If trainee unsatisfactory in the 1stST3 review: Need to comment on in final ST3 review Additional evidence will be required
ESRs No need for comments on: Clinical experience coverage Review of PDP Quality of evidence CEPs Can just write N/A in the box
ESR ST3 finishers: Missing evidence Make a comment Trainee made satisfactory progress up to the point when training suspended due to Covid 19 Signpost compensatory evidence
ESR ST3 finishers: Missing evidence ARCP panel will make a global judgement of evidence across the 3 year programme
ESR ST3 finishers Missing exams: Training will be extended ES needs to tick that this is their final review Can then comment on CPR etc. Capability ratings must solely be based on WBPA, not on failure of the exam
OOH: all trainees Trainees don t have to do a set number of hours No OOH requirement currently for MRCGP Use urgent and unscheduled care (UUC) in Practices for learning logs No requirement for providing evidence for all the capabilities for UUC with Covid Contractual requirement bank holidays can count
ST1s, ST2s, ST3s not finishing RCGP have just added guidance Light touch favoured
ST1/ST2/ST3 not finishing: WBPA required FOR 12 MONTHS ST1 minimum ST2 minimum CBD COT/mini CEX MSF 3 3 1 3 3 X (or comment other evidence of working in teams) X PSQ CEPS X Evidence of some CEPS activity Evidence of some CEPS activity Learning logs CSR 1 per post 1 per post
ST1/ST2/ST3 not finishing: WBPA required FOR 12 MONTHS ST1 minimum ST2 minimum BLS E-learning E-learning Level 3 child safeguarding E-learning for posts including children E-learning for posts including children QIP/audit X X SEA Significant events only* Significant events only* Form R
LTFT Pro-rata amount
Missing evidence Action plan & PDP should set out what capabilities missing & needed
ST1/ST2/ST3 not finishing If satisfactory: outcome 1 (satisfactory progress) If unsatisfactory: referral to Central Panel If only unsatisfactory because of missing evidence: outcome 10 Covid 19
Educational supervisor not at work Self-isolating: do ESR remotely Unwell: trainee to let TPD know
Summary MRCGP & ARCPs: Covid 19 ARCP s will go ahead Evolving process Do a CSR if you can not mandatory in ST3 ESR is needed Evidence requirements less Find evidence across whole year Simplified: If satisfactory agree with trainee Comments on PDP etc. not needed If evidence missing state what s missing clearly